Brennan, Mary J

Brennan, Mary J is an individual health care provider with primary practice located at 10 Andover Rd , Portland ME 04102-1954. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Allopathic & Osteopathic Physicians / Hospitalist. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Brennan, Mary J can be contacted via phone (207) 761-6642.

Contact Information

Primary practice address
10 Andover Rd Portland ME 04102-1954
Phone: (207) 761-6642
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X CNP211468 Maine
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 047934-23 New Hampshire
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 047934-23 New Hampshire

Profile Details

NPI number 1699782623
LBN Legal business name Brennan, Mary J
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Dec 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699782623 NPPES
Maine MEDICAID 432951999
Maine MEDICAID 30347119

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